Abstract

To study behavioral factors as a predictor of the adherence to psychopharmacotherapy in patients inclined to socially dangerous actions. The total number of people with mental disorders that pose a danger to society in the city of Cherepovets was 148 at the moment of the study. Eighty-three patients were examined. The collection of data was carried out by the method of anonymous sociological survey of patients using a specially developed questionnaire. To interpret the data, quantitative and qualitative indicators were calculated. Every one in three (28.9%) patients does not follow the doctor's advice. The main reasons for amending the therapy prescribed by the doctor are as follows: high price for the medicines (43.2%), side effects (32.4%) and ineffective treatment (24.4%). Whereby each in two (45.8%) patients considers the most effective medicines to be the natural resource materials (39.8%) or homeopathic medicines (6%), whereas 12% do not believe in the efficacy of any medicine. The reasons for the low adherence to psychopharmacotherapy of patients with mental disorders prone to socially dangerous actions were the insufficient amount of medical information provided by the doctor (51.8%), the insufficient therapeutic relationship between the patient and the doctor (28.9%) and patient dissatisfaction with the quality of treatment (22.9%).

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